腹膜内、外引流术在产科严重凝血功能障碍患者术中的应用——附3例病例分析

Application of internal or and external drainage of abdomen cavity to patients with obstetrical severe coagulation disorder (3cases analysis)

目的探讨腹膜内、外引流术在产科严重凝血功能障碍患者术中应用的价值。方法回顾性分析该院近年应用腹膜内、外引流术的3例产科严重凝血功能障碍患者的病例资料。结果3例产科严重凝血功能障碍患者,腹腔引流管引流总量约485～3350ml;腹膜后及腹壁各层引流总量分别为120～154ml和40～22ml。手术时间平均为50min。均无再次手术。结论腹膜内、外引流术适用于产科严重凝血功能障碍患者腹部及阴道手术,有效地缩短手术时间、避免腹腔内积血或及腹膜外血肿形成,准确估计失血量,有效地指导补液量等。作者认为,产科严重凝血功能障碍患者术中应用腹膜内、外引流,是一种简单有效的治疗方法。

Objective:To evaluate the methods of internal or and external drainage of abdomen cavity to patients with obstetrical severe coagulation disorder.Methods:3cases with severe coagulation disorder,who were used in-ternal or and external drainage of abdomen cavity after surgery,were analyzed retrospectively.Results:Total drain-ing volume of each patient by internal drainage were485～3350ml,while that by external drainage add up to120～154ml and40～22ml,respectively.The mean time of operation for3patients were about50min,without reoperation and reoccurring hematocele.Conclusions:Internal or and external drainage of abdomen cavity fits to patients with obstetrical severe coagulation disorder,performed operation by abdomen or vaginal.It can effectively shorten opera-tion time,evaluate accurately hemorrhagic volumes and guide correctly transfusion by internal or and external drainage while avoid reoperation and reoccurring hematocele.It advocated in successful method applying to opera-tion on patients with obstetrical severe coagulation disorder.